응급 심폐소생술 후 자발순환회복 및 생존퇴원 관련요인
Spontaneous Circulation and Discharged Alive after Cardiopulmonary Resuscitation
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
This study performed to determine factors influencing on return of spontaneous circulation and discharged alive after cardiac arrest. Authors surveyed characteristics of participants to identify the resuscitation factors to be used to increase the survival rate of cardiopulmonary resuscitation in emergency room. Authors studied prospectively 331 consecutive patients with emergency room and out-of hospital cardiac arrest who visited Emergency department of Busan Paik Hospital from April 2007 to November 2009. The results of factors influencing return of spontaneous circulation and discharged alive were that the return of spontaneous circulation of females were lower than those of males by 0.82 times, a large of age higher. The non-cardiac was higher than cardiac by 3.53 times for the return of spontaneous circulation. Traumatic heart arrest was lower than cardiac heart arrest by 0.31 times and witness by Cardiopulmonary was resuscitation lower than not Cardiopulmonary resuscitation by 0.67 times. Early CPR by witness and early defibrillation were essential to improve the rate of return of spontaneous circulation in a cardiopulmonary resuscitation. Public education and public relations of CPR are needed for Korean people to improve the rate of return of spontaneous circulation in cardiopulmonary resuscitation.
Abstract
This study performed to determine factors influencing on return of spontaneous circulation and discharged alive after cardiac arrest. Authors surveyed characteristics of participants to identify the resuscitation factors to be used to increase the survival rate of cardiopulmonary resuscitation in emergency room. Authors studied prospectively 331 consecutive patients with emergency room and out-of hospital cardiac arrest who visited Emergency department of Busan Paik Hospital from April 2007 to November 2009. The results of factors influencing return of spontaneous circulation and discharged alive were that the return of spontaneous circulation of females were lower than those of males by 0.82 times, a large of age higher. The non-cardiac was higher than cardiac by 3.53 times for the return of spontaneous circulation. Traumatic heart arrest was lower than cardiac heart arrest by 0.31 times and witness by Cardiopulmonary was resuscitation lower than not Cardiopulmonary resuscitation by 0.67 times. Early CPR by witness and early defibrillation were essential to improve the rate of return of spontaneous circulation in a cardiopulmonary resuscitation. Public education and public relations of CPR are needed for Korean people to improve the rate of return of spontaneous circulation in cardiopulmonary resuscitation.
참고문헌 (37)
- 김성은, "우리나라 병원 전 심정지 자료 구축을 위한 예비연구", 대한응급의학회 추계학술대회 (2004)
- 김성은, "일개 3차 의료기관에 내원한 병원전 심정지 환자의 심폐소생술 결과", 대한응급의학회지, 16(5), pp.495~504 (2005), 대한응급의학회
- 정태녕, "목격자의 행태가 병원전 심정지 환자의 병원 도착까지의 시간에 미치는 영향 분석", 대한응급의학회지, 16(1), pp.93~98 (2005), 대한응급의학회
- 김종근, "병원 전 심정지 환자의 심폐소생술의 분석", 대한응급의학회지, 13(1), pp.5~11 (2002), 대한응급의학회
- 김원, "쉽게 배우는 심폐소생술" (2003), 서울: 군자출판사
- 김호중, "전문 인명구조술팀에 으해 시행된 병원내 심폐소생술 결과의 In Hospital Utstein Style에 따른 분석", 대한응급의학회지, 13(4), pp.450~458 (2002), 대한응급의학회
- 박세훈, "일부 최초반응자 직업군의 심폐소생술 지식과 태도에 대한 연구", 대한응급의학회지, 17(6), pp.545~558 (2006), 대한응급의학회
- 송근정, "In-hospital Utstein Style에 의한 3차 의료기관 응급의료센터에서의 심폐소생술 성적", 대한응급의학회지, 12(1), pp.27~35 (2001)
- 안성훈, "병원 전 심정지 환자의 생존에 영향을 미치는 인자", 대한순환기학회지, 31(10), pp.1059~1065 (2001)
- 대한응급의학회지, "응급센터에서 심폐소생술을 시행한 심정지 환자에 대한 고찰", 대한응급의학회지, 11(2), pp.176~189 (2000)
- 황성오, "병원 전 심정지 환자의 심폐소생술 결과", 대한응급의학회지, 3(1), pp.27~36 (1992)
- 황성오, "응급실에서 시행된 심폐소생술 후 의 생존률과 순환회복률에 관여되는 요소", 대한응급의학회지, 4(1), pp.15~25 (1993)
- 통계청, "사망원인통계연보", ~ (2006)
- American Heart Association, "Guideline 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular care", Circulation, 102, pp.22~59 (2005)
- American Heart Association, "Guideline 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular care", Circulation, 102, pp.22~59 (2000)
- Cobb, L., "Changing incidence of out-of-Hospital Ventricular Fibrillation", Journal of the American Medical Association, 288, pp.3008~3013 (2002)
- Cummins, R., "Recommended Guidelines for Uniform Reporting of Data from Out-of-Hospital Cardiac Arrest. The Utstein Style", Annals of Emergency Medicine, 20, pp.861~874 (1991)
- De Maio, V., "Optimal Defibrillation Response Intervals for Maximum Out-of-Hospital Cardiac Arrest Survival Rates", Annals of Emergency Medicine, 42, pp.242~250 (2003)
- Finn, J., "Outcome of Out-of-Hospital Cardiac Arrest Patients in Perth, Western Australia, 1996-1999", Resuscitation, 51, pp.247~255 (1999)
- Holmberg, M., "Effect of Bystander Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Patients in Sweden", Resuscitation, 47, pp.59~70 (2000)
- Jaffe, A,, "Resuscitation 2000, The need for Improved Databases in Regard toNneurologicalOoutcome", Resuscitation, 37, pp.65~66 (1998)
- Langhelle, A., "In-hospital Factors Associated with Improved Outcome arter Out-of-Hospital Cardiac Arrest. A comparison between for in Norway", Resuscitation, 56, pp.247~263 (2003)
- Lim, S., "Results of the First Five Years of the Prehospital Automatic External Defibrillation Project in Singapore in the "Utstein Style"", Resuscitation, 64, pp.49~57 (2005)
- Martin, S., "Blunt Trauma Patients with Prehospital Pulaseless Eletrical Activity (PEA), poor ending assured", J trauma, 53, pp.876~881 (2002)
- McGrath, R, "In-house Cardiopulmonary Resuscitation. After a Quarter of a Century", Annals of Emergency Medicine, 16, pp.1365~1368 (1987)
- Myerburg, R., "Clinical, Electrophysiologic and Hemodynamic Profile of Patients Resuscitstion from Prehospital Cardiac Arrest", Annals of Emergency Medicine, 68, pp.568~576 (1980)
- Niemann, J., "Outcome of Out-of-Hospital Postcounter Shock asytole and Pulseless Electrical Activity Versus Primary Asystole and Pulseless Electrical Activity", Critical Care Medicine, 29, pp.2366~2370 (2001)
- Priori, S., "Policy statement: ESC-ERC Recommendations for the use of Automated External Defibrillators (AEDs) in Europe", Resuscitation, 60, pp.245~252
- Ritter, G., "The effect of Bystander CPR on Susvival of Out-of-Hospital Cardiac arrest Victims", American Heart Journal, 110, pp.932~937 (1985)
- Solomon, N, "What are Representative Survival Rates for Out-of-Hospital Cardiac arrest", Archires of Internal Medicine, 153, pp.1218~1221 (1993)
- Standards and Guidelines for Cardiopulmonary Resuscitation(CPR) and Emergency Cardiac Care(ECC), , Journal of the American Medical Association, 268, pp.2171~2302 (1992)
- Standards and Guidelines for Cardiopulmonary resuscitation(CPR) and Emergency Cardiac Care(ECC), , Journal of the American Medical Association, 268, pp.2905~2984 (1992)
- Swor, R., "Does dvanced age Matter in Outcome after Out-of-Hospital Cardiac arrest in Community-Dwelling adults", Academic Emergency Medicine, 7, pp.762~768 (2000)
- Taffet, G., "In-hospital Cardiopulmonary Resuscitation", Journal of the American Medical Association, 14, pp.1579~1582 (1998)
- The American Heart Association in Collaboration with the International Liaison Committee on Resuscitation, "Guidelines 2000 for Cardiopulmonary" (2000)
- Utstein Style Writing Group, "Recommended Guidelines for Reviewing, Reporting, and Conducting Research In-Hospital Resuscitation", The In-Hospital Utstein style. Annals of Emergency Medicine, 29, pp.650~679 (1997)
- Vaillancourt, C., "Cardiac arrest care and Emergency Medical Services in Canada", Canadian Journal of Cardiology, 20, pp.1081~1090 (2004)